|
OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES
|
Facility
|
IP
|
$24,113.12
|
|
|
Service Code
|
APR-DRG 0293
|
| Min. Negotiated Rate |
$22,964.88 |
| Max. Negotiated Rate |
$24,113.12 |
| Rate for Payer: BCBS Complete |
$24,113.12
|
| Rate for Payer: Mclaren Medicaid |
$22,964.88
|
| Rate for Payer: Meridian Medicaid |
$24,113.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$22,964.88
|
| Rate for Payer: UHC Medicaid |
$22,964.88
|
| Rate for Payer: UHCCP Medicaid |
$22,964.88
|
|
|
OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES
|
Facility
|
IP
|
$24,472.08
|
|
|
Service Code
|
APR-DRG 0294
|
| Min. Negotiated Rate |
$23,306.74 |
| Max. Negotiated Rate |
$24,472.08 |
| Rate for Payer: BCBS Complete |
$24,472.08
|
| Rate for Payer: Mclaren Medicaid |
$23,306.74
|
| Rate for Payer: Meridian Medicaid |
$24,472.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$23,306.74
|
| Rate for Payer: UHC Medicaid |
$23,306.74
|
| Rate for Payer: UHCCP Medicaid |
$23,306.74
|
|
|
OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES
|
Facility
|
IP
|
$19,008.42
|
|
|
Service Code
|
APR-DRG 0292
|
| Min. Negotiated Rate |
$18,103.25 |
| Max. Negotiated Rate |
$19,008.42 |
| Rate for Payer: BCBS Complete |
$19,008.42
|
| Rate for Payer: Mclaren Medicaid |
$18,103.25
|
| Rate for Payer: Meridian Medicaid |
$19,008.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,103.25
|
| Rate for Payer: UHC Medicaid |
$18,103.25
|
| Rate for Payer: UHCCP Medicaid |
$18,103.25
|
|
|
OTHER PERIPHERAL VASCULAR AND CIRCULATORY PROCEDURES
|
Facility
|
IP
|
$22,694.24
|
|
|
Service Code
|
APR-DRG 1804
|
| Min. Negotiated Rate |
$21,613.56 |
| Max. Negotiated Rate |
$22,694.24 |
| Rate for Payer: BCBS Complete |
$22,694.24
|
| Rate for Payer: Mclaren Medicaid |
$21,613.56
|
| Rate for Payer: Meridian Medicaid |
$22,694.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$21,613.56
|
| Rate for Payer: UHC Medicaid |
$21,613.56
|
| Rate for Payer: UHCCP Medicaid |
$21,613.56
|
|
|
OTHER PERIPHERAL VASCULAR AND CIRCULATORY PROCEDURES
|
Facility
|
IP
|
$11,837.13
|
|
|
Service Code
|
APR-DRG 1803
|
| Min. Negotiated Rate |
$11,273.46 |
| Max. Negotiated Rate |
$11,837.13 |
| Rate for Payer: BCBS Complete |
$11,837.13
|
| Rate for Payer: Mclaren Medicaid |
$11,273.46
|
| Rate for Payer: Meridian Medicaid |
$11,837.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,273.46
|
| Rate for Payer: UHC Medicaid |
$11,273.46
|
| Rate for Payer: UHCCP Medicaid |
$11,273.46
|
|
|
OTHER PERIPHERAL VASCULAR AND CIRCULATORY PROCEDURES
|
Facility
|
IP
|
$8,976.36
|
|
|
Service Code
|
APR-DRG 1801
|
| Min. Negotiated Rate |
$8,548.92 |
| Max. Negotiated Rate |
$8,976.36 |
| Rate for Payer: BCBS Complete |
$8,976.36
|
| Rate for Payer: Mclaren Medicaid |
$8,548.92
|
| Rate for Payer: Meridian Medicaid |
$8,976.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,548.92
|
| Rate for Payer: UHC Medicaid |
$8,548.92
|
| Rate for Payer: UHCCP Medicaid |
$8,548.92
|
|
|
OTHER PERIPHERAL VASCULAR AND CIRCULATORY PROCEDURES
|
Facility
|
IP
|
$9,484.23
|
|
|
Service Code
|
APR-DRG 1802
|
| Min. Negotiated Rate |
$9,032.60 |
| Max. Negotiated Rate |
$9,484.23 |
| Rate for Payer: BCBS Complete |
$9,484.23
|
| Rate for Payer: Mclaren Medicaid |
$9,032.60
|
| Rate for Payer: Meridian Medicaid |
$9,484.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,032.60
|
| Rate for Payer: UHC Medicaid |
$9,032.60
|
| Rate for Payer: UHCCP Medicaid |
$9,032.60
|
|
|
OTHER PNEUMONIA
|
Facility
|
IP
|
$9,664.01
|
|
|
Service Code
|
APR-DRG 1394
|
| Min. Negotiated Rate |
$9,203.82 |
| Max. Negotiated Rate |
$9,664.01 |
| Rate for Payer: BCBS Complete |
$9,664.01
|
| Rate for Payer: Mclaren Medicaid |
$9,203.82
|
| Rate for Payer: Meridian Medicaid |
$9,664.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,203.82
|
| Rate for Payer: UHC Medicaid |
$9,203.82
|
| Rate for Payer: UHCCP Medicaid |
$9,203.82
|
|
|
OTHER PNEUMONIA
|
Facility
|
IP
|
$6,601.67
|
|
|
Service Code
|
APR-DRG 1393
|
| Min. Negotiated Rate |
$6,287.31 |
| Max. Negotiated Rate |
$6,601.67 |
| Rate for Payer: BCBS Complete |
$6,601.67
|
| Rate for Payer: Mclaren Medicaid |
$6,287.31
|
| Rate for Payer: Meridian Medicaid |
$6,601.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,287.31
|
| Rate for Payer: UHC Medicaid |
$6,287.31
|
| Rate for Payer: UHCCP Medicaid |
$6,287.31
|
|
|
OTHER PNEUMONIA
|
Facility
|
IP
|
$3,151.93
|
|
|
Service Code
|
APR-DRG 1391
|
| Min. Negotiated Rate |
$3,001.84 |
| Max. Negotiated Rate |
$3,151.93 |
| Rate for Payer: BCBS Complete |
$3,151.93
|
| Rate for Payer: Mclaren Medicaid |
$3,001.84
|
| Rate for Payer: Meridian Medicaid |
$3,151.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,001.84
|
| Rate for Payer: UHC Medicaid |
$3,001.84
|
| Rate for Payer: UHCCP Medicaid |
$3,001.84
|
|
|
OTHER PNEUMONIA
|
Facility
|
IP
|
$4,210.64
|
|
|
Service Code
|
APR-DRG 1392
|
| Min. Negotiated Rate |
$4,010.13 |
| Max. Negotiated Rate |
$4,210.64 |
| Rate for Payer: BCBS Complete |
$4,210.64
|
| Rate for Payer: Mclaren Medicaid |
$4,010.13
|
| Rate for Payer: Meridian Medicaid |
$4,210.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,010.13
|
| Rate for Payer: UHC Medicaid |
$4,010.13
|
| Rate for Payer: UHCCP Medicaid |
$4,010.13
|
|
|
OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS
|
Facility
|
IP
|
$15,892.81
|
|
|
Service Code
|
APR-DRG 4053
|
| Min. Negotiated Rate |
$15,136.01 |
| Max. Negotiated Rate |
$15,892.81 |
| Rate for Payer: BCBS Complete |
$15,892.81
|
| Rate for Payer: Mclaren Medicaid |
$15,136.01
|
| Rate for Payer: Meridian Medicaid |
$15,892.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,136.01
|
| Rate for Payer: UHC Medicaid |
$15,136.01
|
| Rate for Payer: UHCCP Medicaid |
$15,136.01
|
|
|
OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS
|
Facility
|
IP
|
$10,312.92
|
|
|
Service Code
|
APR-DRG 4052
|
| Min. Negotiated Rate |
$9,821.83 |
| Max. Negotiated Rate |
$10,312.92 |
| Rate for Payer: BCBS Complete |
$10,312.92
|
| Rate for Payer: Mclaren Medicaid |
$9,821.83
|
| Rate for Payer: Meridian Medicaid |
$10,312.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,821.83
|
| Rate for Payer: UHC Medicaid |
$9,821.83
|
| Rate for Payer: UHCCP Medicaid |
$9,821.83
|
|
|
OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS
|
Facility
|
IP
|
$8,227.58
|
|
|
Service Code
|
APR-DRG 4051
|
| Min. Negotiated Rate |
$7,835.79 |
| Max. Negotiated Rate |
$8,227.58 |
| Rate for Payer: BCBS Complete |
$8,227.58
|
| Rate for Payer: Mclaren Medicaid |
$7,835.79
|
| Rate for Payer: Meridian Medicaid |
$8,227.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,835.79
|
| Rate for Payer: UHC Medicaid |
$7,835.79
|
| Rate for Payer: UHCCP Medicaid |
$7,835.79
|
|
|
OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS
|
Facility
|
IP
|
$27,722.07
|
|
|
Service Code
|
APR-DRG 4054
|
| Min. Negotiated Rate |
$26,401.97 |
| Max. Negotiated Rate |
$27,722.07 |
| Rate for Payer: BCBS Complete |
$27,722.07
|
| Rate for Payer: Mclaren Medicaid |
$26,401.97
|
| Rate for Payer: Meridian Medicaid |
$27,722.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$26,401.97
|
| Rate for Payer: UHC Medicaid |
$26,401.97
|
| Rate for Payer: UHCCP Medicaid |
$26,401.97
|
|
|
OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS
|
Facility
|
IP
|
$8,034.48
|
|
|
Service Code
|
APR-DRG 6511
|
| Min. Negotiated Rate |
$7,651.88 |
| Max. Negotiated Rate |
$8,034.48 |
| Rate for Payer: BCBS Complete |
$8,034.48
|
| Rate for Payer: Mclaren Medicaid |
$7,651.88
|
| Rate for Payer: Meridian Medicaid |
$8,034.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,651.88
|
| Rate for Payer: UHC Medicaid |
$7,651.88
|
| Rate for Payer: UHCCP Medicaid |
$7,651.88
|
|
|
OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS
|
Facility
|
IP
|
$16,963.02
|
|
|
Service Code
|
APR-DRG 6513
|
| Min. Negotiated Rate |
$16,155.26 |
| Max. Negotiated Rate |
$16,963.02 |
| Rate for Payer: BCBS Complete |
$16,963.02
|
| Rate for Payer: Mclaren Medicaid |
$16,155.26
|
| Rate for Payer: Meridian Medicaid |
$16,963.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,155.26
|
| Rate for Payer: UHC Medicaid |
$16,155.26
|
| Rate for Payer: UHCCP Medicaid |
$16,155.26
|
|
|
OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS
|
Facility
|
IP
|
$11,729.38
|
|
|
Service Code
|
APR-DRG 6512
|
| Min. Negotiated Rate |
$11,170.84 |
| Max. Negotiated Rate |
$11,729.38 |
| Rate for Payer: BCBS Complete |
$11,729.38
|
| Rate for Payer: Mclaren Medicaid |
$11,170.84
|
| Rate for Payer: Meridian Medicaid |
$11,729.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,170.84
|
| Rate for Payer: UHC Medicaid |
$11,170.84
|
| Rate for Payer: UHCCP Medicaid |
$11,170.84
|
|
|
OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS
|
Facility
|
IP
|
$39,676.63
|
|
|
Service Code
|
APR-DRG 6514
|
| Min. Negotiated Rate |
$37,787.27 |
| Max. Negotiated Rate |
$39,676.63 |
| Rate for Payer: BCBS Complete |
$39,676.63
|
| Rate for Payer: Mclaren Medicaid |
$37,787.27
|
| Rate for Payer: Meridian Medicaid |
$39,676.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$37,787.27
|
| Rate for Payer: UHC Medicaid |
$37,787.27
|
| Rate for Payer: UHCCP Medicaid |
$37,787.27
|
|
|
OTHER RESPIRATORY AND CHEST PROCEDURES
|
Facility
|
IP
|
$13,361.94
|
|
|
Service Code
|
APR-DRG 1212
|
| Min. Negotiated Rate |
$12,725.66 |
| Max. Negotiated Rate |
$13,361.94 |
| Rate for Payer: BCBS Complete |
$13,361.94
|
| Rate for Payer: Mclaren Medicaid |
$12,725.66
|
| Rate for Payer: Meridian Medicaid |
$13,361.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,725.66
|
| Rate for Payer: UHC Medicaid |
$12,725.66
|
| Rate for Payer: UHCCP Medicaid |
$12,725.66
|
|
|
OTHER RESPIRATORY AND CHEST PROCEDURES
|
Facility
|
IP
|
$10,252.99
|
|
|
Service Code
|
APR-DRG 1211
|
| Min. Negotiated Rate |
$9,764.76 |
| Max. Negotiated Rate |
$10,252.99 |
| Rate for Payer: BCBS Complete |
$10,252.99
|
| Rate for Payer: Mclaren Medicaid |
$9,764.76
|
| Rate for Payer: Meridian Medicaid |
$10,252.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,764.76
|
| Rate for Payer: UHC Medicaid |
$9,764.76
|
| Rate for Payer: UHCCP Medicaid |
$9,764.76
|
|
|
OTHER RESPIRATORY AND CHEST PROCEDURES
|
Facility
|
IP
|
$24,678.49
|
|
|
Service Code
|
APR-DRG 1214
|
| Min. Negotiated Rate |
$23,503.33 |
| Max. Negotiated Rate |
$24,678.49 |
| Rate for Payer: BCBS Complete |
$24,678.49
|
| Rate for Payer: Mclaren Medicaid |
$23,503.33
|
| Rate for Payer: Meridian Medicaid |
$24,678.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$23,503.33
|
| Rate for Payer: UHC Medicaid |
$23,503.33
|
| Rate for Payer: UHCCP Medicaid |
$23,503.33
|
|
|
OTHER RESPIRATORY AND CHEST PROCEDURES
|
Facility
|
IP
|
$16,593.77
|
|
|
Service Code
|
APR-DRG 1213
|
| Min. Negotiated Rate |
$15,803.59 |
| Max. Negotiated Rate |
$16,593.77 |
| Rate for Payer: BCBS Complete |
$16,593.77
|
| Rate for Payer: Mclaren Medicaid |
$15,803.59
|
| Rate for Payer: Meridian Medicaid |
$16,593.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,803.59
|
| Rate for Payer: UHC Medicaid |
$15,803.59
|
| Rate for Payer: UHCCP Medicaid |
$15,803.59
|
|
|
OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES
|
Facility
|
IP
|
$12,036.89
|
|
|
Service Code
|
APR-DRG 1434
|
| Min. Negotiated Rate |
$11,463.70 |
| Max. Negotiated Rate |
$12,036.89 |
| Rate for Payer: BCBS Complete |
$12,036.89
|
| Rate for Payer: Mclaren Medicaid |
$11,463.70
|
| Rate for Payer: Meridian Medicaid |
$12,036.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,463.70
|
| Rate for Payer: UHC Medicaid |
$11,463.70
|
| Rate for Payer: UHCCP Medicaid |
$11,463.70
|
|
|
OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES
|
Facility
|
IP
|
$8,038.72
|
|
|
Service Code
|
APR-DRG 1433
|
| Min. Negotiated Rate |
$7,655.92 |
| Max. Negotiated Rate |
$8,038.72 |
| Rate for Payer: BCBS Complete |
$8,038.72
|
| Rate for Payer: Mclaren Medicaid |
$7,655.92
|
| Rate for Payer: Meridian Medicaid |
$8,038.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,655.92
|
| Rate for Payer: UHC Medicaid |
$7,655.92
|
| Rate for Payer: UHCCP Medicaid |
$7,655.92
|
|